Organization Active NPI

Roark's Pharmacy Inc

Doing business as Roark's Pharmacy Long Term Care

  • Long Term Care Pharmacy
  • Oneida, TN
National Provider Identifier
1952131716
Registry record updated Aug 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
ROARK'S PHARMACY INC
Doing business as
Roark's Pharmacy Long Term Care
Practice address
19118 Alberta St
Oneida, TN 37841-6003
Phone
(423) 569-9000
Fax
(423) 569-2402
NPI assigned
Aug 6, 2024
Last updated
Aug 6, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Sydney Lovett Blakley, PHARMD, MPHNPI 1710595137
Title
Pharmacist
Phone
(423) 569-9000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X NU Primary

Addresses

Primary practice location

19118 Alberta St
Oneida, TN 37841-6003

Mailing address

19118 Alberta St
Oneida, TN 37841-6003
Phone (423) 569-9000

Other names 1

  • Roark's Pharmacy Long Term Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Roark's Pharmacy Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1722902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722902400000",
    "number": "1952131716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19118 ALBERTA ST",
            "city": "ONEIDA",
            "state": "TN",
            "postal_code": "378416003",
            "telephone_number": "423-569-9000",
            "fax_number": "423-569-2402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19118 ALBERTA ST",
            "city": "ONEIDA",
            "state": "TN",
            "postal_code": "378416003",
            "telephone_number": "423-569-9000",
            "fax_number": "423-569-2402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROARK'S PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-06",
        "last_updated": "2024-08-06",
        "certification_date": "2024-08-06",
        "status": "A",
        "authorized_official_last_name": "BLAKLEY",
        "authorized_official_first_name": "SYDNEY",
        "authorized_official_middle_name": "LOVETT",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "423-569-9000",
        "authorized_official_credential": "PHARMD, MPH"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Roark's Pharmacy Long Term Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oneida, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.